Unusual tomographic findings of complicated necrotizing pancreatitis

  • Rosa Maria Silveira Sigrist Department of Radiology – Instituto do Coração – Faculdade de Medicina – Universidade de Sa?o Paulo, Sa?o Paulo/SP
  • Samira Ineida Morais Gomes Department of Radiology – Instituto do Coração – Faculdade de Medicina – Universidade de Sa?o Paulo, Sa?o Paulo/SP
  • Daniela Tavares Possagnolo Department of Radiology – Instituto do Coração – Faculdade de Medicina – Universidade de Sa?o Paulo, Sa?o Paulo/SP
  • Brenda Margatho Ramos Martines Diagnostic Imaging service – Hospital Universitário – Universidade de São Paulo, São Paulo/SP
Keywords: Pancreatitis, Acute Necrotizing, Hemoperitoneum, Duodenal Diseases.

Abstract

Acute pancreatitis (AP) is a potential life-threatening disease, which originates from inflammatory involvement of the pancreas and surrounding tissues. Serious complications eventuate and treatment is difficult. AP is classified in both interstitial edematous pancreatitis, which occurs in 70-80% of patients, and necrotizing pancreatitis, which occurs in 20-30% of patients. Diagnosis is based on the presence of two of the following criteria: abdominal pain, increased serum determination of amylase and/or lipase more than three times the reference value, and characteristic tomographic findings. Among the latter, there is the pancreatic and surrounding tissue damage as well as that related to distant organ involvement. This case report shows the fatal case of a male patient with a history of heavy alcoholic abuse admitted with the diagnosis of necrotizing pancreatitis. The authors call attention to the unusual tomographic findings; namely, a huge duodenal hematoma and a large hemoperitoneum, ischemic involvement of the spleen and kidneys, as well as pancreatic and peripancreatic necrosis.

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Published
2013-12-17
How to Cite
Sigrist, R., Gomes, S., Possagnolo, D., & Martines, B. (2013). Unusual tomographic findings of complicated necrotizing pancreatitis. Autopsy and Case Reports, 3(4), 63-68. Retrieved from http://www.revistas.usp.br/autopsy/article/view/75878
Section
Article / Clinical Case Report